Name of the Procedure:

Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s).

Summary

A subcutaneous infusion is a medical procedure where medications or fluids are administered into the fatty tissue just beneath the skin using a small pump. This method is often used for treatments that require slow, continuous administration over time.

Purpose

This procedure addresses various medical conditions, including hydration, pain management, hormone replacement, and treatments requiring prolonged drug administration. The goal is to maintain a steady level of medication in the body to manage symptoms or prevent disease progression effectively.

Indications

• Chronic pain needing continuous analgesia
• Hormonal deficiencies requiring replacement therapy
• Certain chemotherapy protocols
• Specific infections needing prolonged antibiotic therapy
• Dehydration requiring rehydration over time

Preparation

Patients may be instructed to:

• Fast for a few hours prior if sedation will be used
• Adjust current medications as advised by the healthcare provider
• Undergo blood tests or other diagnostics to ensure suitability

Procedure Description

1. Site Selection: A suitable site on the abdomen, thigh, or upper arm is selected and disinfected.
2. Pump Preparation: The medication or fluid is loaded into the pump and programmed to deliver the substance at a prescribed rate.
3. Needle Insertion: A small needle or cannula is inserted into the subcutaneous tissue at the selected site.
4. Device Connection: The needle is connected to the pump via tubing, and the infusion starts.

Tools and Equipment:

• Infusion pump
• Medication or fluid to be infused
• Sterile needle or cannula
• Disinfectant wipes

Anesthesia:

• Local anesthesia may be applied to numb the site.

Duration

The initial setup and infusion take up to 1 hour.

Setting

The procedure is typically performed in an outpatient clinic or hospital.

Personnel

• Nurse or trained healthcare professional
• Physician or specialist overseeing the treatment

Risks and Complications

• Common: Bruising, redness, or swelling at the infusion site
• Rare: Infection, allergic reaction to the medication, pump malfunction

Benefits

• Provides consistent medication levels
• Can be done outside of a hospital setting
• Minimizes the need for frequent injections

Recovery

After the procedure:

• Patients can resume most normal activities immediately.
• Keep the infusion site clean and monitor for signs of infection.
• Follow-up appointments may be necessary to monitor therapy effectiveness.

Alternatives

Alternatives may include:

• Oral medication
• Intravenous (IV) infusion
• Intramuscular injections

Pros and Cons:

• Oral and IM routes may not provide as consistent drug levels.
• IV infusions typically require more frequent medical visits.

Patient Experience

• Patients might feel slight discomfort or pinch during needle insertion.
• Minimal pain afterward; any discomfort can be managed with over-the-counter pain relievers.
• The pump is portable and designed for convenience, allowing most daily activities to continue as normal.